Surgical device



' 1,633,074 June 21, 1927. R. H DE MOTT SURGICAL DEVICE Filed Aug.-6. 1925 "14 IIIIIIIIIIIIIIIIIIIII'I'I Ill.

[N VE N TOR Ballard /1. De/liozv:

.44.; A TTORNE Y Patented June 21, 1927. x

UNITED STATES PATENT OFFICEQ RICHARD H. DE MOTEL, F TENAI'LY, NEW JERSEY- suaercn. nn'vrcn.

Application filed August 6, 1925. Serialll'o. 48,480.

This invention relates to devices for irrinozzle and then the valve. By reference to gating cavities of the body, particularly Fig.2 and its associated cross sectional views, 55 natural cavities, such as the colon, and has it will be seen thatthe nozzle consists of an for an object to provide a unitary nozzle elongated hollow body, 19, having an orifice,

structure adapted to pass fluid to the. upper 20, near its end. This may be termed the or inward portion of the cavity and to withcolon tube portion as it is intended to exdraw the fluid and matter washed from the tendlinto the inner or upward portion of the 60 cavity at a lower or less remote portion; a colon when the device. lsused in the treatfurther object is to so control'the supply and ment of that part. The orifice, 20, is pridischarge that these functions may proceed marily intended to supply the irrigatin or concurrently, or'the discharge may be remedicating fluid, but may also be use as versed and take lace through the upper supan exit for withdrawing fluid or permitting 65 ply orifice, or t e supply may be directed its escape. Two tubes, 21 and 22, are shown through the discharge and the exit orifice for merging intov the body portion, 23, of the breaking u or dislodging bodies of solid structure which is larger circumferentially matter ten ing to delay the discharge by than the nozzle and contains a partition, 24 clo ging the exit orifice. dividing it interiorly into-two ducts, and

1 h the accompanying drawings I have 26. Duct 25 connects tubes, 21 and 19. shown one practicable form of my invention Duct, 26, which is connected with tube, 22,

embodied in a structure of the fountain is formed at its inner end with an orifice, 27, syringe variety, in which drawings designed, primarily as a discharge for the Figure 1 shows the device in elevation, irri ation fluid and matter carried thereb some of the parts being represented as. At the region of juncture between the doub e broken, portion, 23 and the 'tube portion, 19, the

25 'Fig'. 2 shows on a larger scale and in censtructure is circumferentially enlarged as at tral longitudinal section the nozzle and con- 28, the rear surface of such enlar ement servnected tubes, Figs. 3, 4 and 5 being cross ing to hold the nozzle in posltion in the so sections thereof at the regions indicated. cavity being treated and to prevent its ac- Fig. 6 is an enlarged top view of a precidental dislodgment. For instance, if this a0 ferred form of valve, enlargement is inserted past the sphincter,

Fig. 7 shows such valve in elevation. the muscular contract-ion of such part will Fig.- 8 shows in elevation the valve body serve to resist withdrawal. removed from the casing. Generally the nozzle will be made of soft Fig. 9 is a central cross section of valve rubber. This, however, is adetail dependent 35 casing, the direction of view being from the largely upon the use to which the syringe'will left of Fig. 7, and be put. In one aspect it may be considered Figs. 10, 11, 12 and 13 are cross sectional that the nozzle has, a bore, 29, terminating 00 details, on a scale smaller than that of Figs. in an orifice at the end of the nozzle and an- 6 and 7, showing the manner of controlling other bore, 26, terminating in an orifice at 4" the flow to and from the nozzle. the base of the nozzle since the orifice, 27 The purpose of the particular form of the is located inwardly of the orifice, 20, and invention selected for illustration is for more is as a matter of fact located at or near the 06 comfortably, conveniently, and efficiently base of the nozzle proper. executing the so called colon irrigation which The valve, V is designed for controlling 45 is customarily preceded by an enema. In the flow of fluid from the source of supply I .this illustration the irrigating liquid will and to the discharge. It is shown comprisbe supplied by gravity from a fountain ing a casing, 30, which in many instances will; 1 syringe bag, 15, and discharge at, 16, to some be made of hard rubber, which casing is' convenient receptacle. The liquid is led shown as being substantially cylindrical andv 00 from the container, 15, by means ofa tube, having two tube connctors, 31 and 32, at one 17, and to the nozzle, 18, through a valve, side and two tube connectors, 33 and 34, at 30; For a better understanding of the. inthe other side. These connectors 'are'shown vention I shall first describe in detail the disposed in the sameplane horizontailyflof the valve body,

the valve or in a plane substantially at right angles to the axis of the valve seat and the rotation of thevalve body, 35. This valve body is shown formed with three transverse openings, see Fig. 10 and designated b the reference characters, 36, 37 and 38. en 35, is in position in its seat in the case, 30, these openings, 36, 37 and 38 are disposed in the same plane as are the tube connectors, 31, 32, 33 and 34. The inside of the casing is shown formed with a groove,

39, having a series of indentations, 40. This is for receiving a detent illustrated as a spring pressed ball, 41, for holding the valve body at its various positions of adjustment. The valve body is so held in the casing that it may be readily removed and replaced for the purpose of permitting cleansing as oocasion requires.

When the valve is set at the position shown in Figures, 6, 7 and 10, and the device is set up generally as illustrated in Figure 1, the liquid flows from the bag, 15, by the tube, 17 through the connection, 31, passage, 36, connection, 33, tubes, 21 and 25, into the bore, 29, and out of the orifice, 20, and into the cavity of the body being treated. It then returns with whatever matter it may have dislodged through the orifice, 27 conduit, 26, tube, 22, connection, 3i, conduit 37 connection, 32, to the discharge afforded by the tube, 16, i

When it is desired to use only the single end of the nozzle the valve is set up in position and the nozzle is only inserted far enough to execute the desired treatment and in such position that the discharge will not talre lace through the orifice, 27. \Vhen it 1s esired to drain from the upper end of the nozzle and through the orifice, 20, the

valve is set in the position illustrated in Fig. 12. In this position the fluid passes througn the orifice, 20, bore, 29, and tothe centermo'st conduit. 38, going from the tube con nection, 33, to thetube connection, 32, and out through the discharge 16.

Sometimes it may be desirable to flush the discharge tube for the purpose of cleaning it or to remove particles of matter which accumulated at the orifice, 27, in which case the valve is set in the position illustrated in Fig. 13. In this instance the flow of liquid goes through the tube connection, 31, the central conduit, 38, and out to tube connection, 34, passing through tubes 22-26, and out through the orifice, 27 After but a brief connection of this kind the matter will probably be dislodged or broken up and the operator will then set the device at the Figure 10 position, whereupon the normal irrigational flow will be continued.

The shut-oil position is illustrated in Figure 11 as will be obvious.

Although but one form of the mechanism is shown and but one application described invent-ion I 1. In a device of the character specified,

the combination with a tubular body portion having a longitudinal partition dividing it interiorly into two ducts, of a tubular nozzle in communication with one of the said ducts extending from the body and formed at its endwith an orifice, the structure at the re gion of juncture between the body portion and the nozzle being circumferentially enlarged for holding the device. in position in the cavity being treated, the wall of the body at the said region of juncture being formed with an orifice for the other of the said ducts.

2. The combination with supply and discharge tubes, of a tubular body portion having a longitudinalpartition dividing it interiorly into two ducts. a tubular nozzle in communication with one of the said ducts extending from the body and formed at its end with an orifice, the structure at the re gion of juncture between the body portion and the nozzle being circumferentially enlarged for holding the device in position in the cavity being treated, the wall of the body at the said region of juncture being formed with an orifice for the other of the said ducts, and valve means normally connecting the said tubes to the said body portion ducts and constructed and adapted to permit either; a flow from the supply tube through the nozzle orifice. and from the orifice in the body to the discharge. a flow from the supply to the orifice in the body, a flow from the nozzle orifice to the discharge, or closing both orifices to supply and discharge.

3. The combination with supply and discharge tubes. of a nozzle having two bores each terminating in an orifice, a valve case formed with a valve seat chamber, a valve body rotatably mounted in such chamber, and formed with three conduits disposed in parallel relation in a plane at right angles to the axis of rotation of the valve body, the case being formed with two conduits at each side disposed in the plane of the valve body conduits and in position to register therewith or be shut off upon relative rotation of the parts, the bores of the nozzle bein connected with the conduits at one side 0% the valve caseand the supply and discharge tubes being connected with the conduits at the other side thereof.

4. The combination with supply and discharge tubes, of nozzle means comprising two ducts each having an orifice, respectively adapted to normally serve as a supply duct and orifice and a discharge duct and orifice, and valve means normally connecting the said tubes to the said ducts and con- :1 flow from the supply tube to the discharge structed and adapted to permit either; a flow duct and orifice, or closin both ducts andfrom the su ply tube through the supply orifices tosupply and disc arge. 10 duct and ori ce and from the discharge orivSigned at the city of New York,- N. Y.

6 fice and duct to the discharge tube, a flow this thirty first day of July, 1925.

. from the supply orifice through the discharge orifice and duct to the discharge tube, RICHARD H. DE MOTT. 

